CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Baylor University Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,104
Cash Discount Price: $1,557
vs. Medicare Baseline: 6.16x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Baylor University Medical Center is $1,104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,557. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 6.16x the Medicare baseline. Located in 3500 Gaston Ave, Dallas, TX.

Cash / Self-Pay

$1,557

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,104

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)

Cash / Self-Pay: $1,557 (869%)

Insurance Median: $1,104 (616%)

Cash: $1,557 (869% of Medicare)

Ins. Median: $1,104 (616% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 616% of the Medicare baseline (a markup of 516%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Superior Health Plan	$153 - $176	85%
Wellpoint (Fka Amerigroup)	$153 - $173	85%
Baylor Scott & White Health Plan	$160 - $1,762	89%
Aetna	$168 - $1,427	94%
Humana	$168 - $1,816	94%
Triwest	$168	94%
American Health Plan	$176	98%
Blue Cross Blue Shield	$176 - $1,194	98%
Corvel	$176	98%
Healthspring	$176	98%
Molina	$176	98%
Prime Health Services	$176	98%
Procare Advantage	$176	98%
UnitedHealthcare	$193 - $2,114	108%
Ambetter / Centene	$348	194%
Texas Workforce Commission	$934	521%
Imagine Health	$1,373	766%
Employers Health Network	$1,427	796%
Quiktrip	$1,427	796%
Cigna	$1,601 - $1,883	893%
Curative	$1,687	941%
University Of Mary Hardin-Baylor	$1,725	963%
First Health	$1,816	1013%
Healthsmart	$1,816 - $1,946	1013%
Private Health Care System	$1,946	1086%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,557.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Baylor University Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70460.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.